PMID- 29752913 OWN - NLM STAT- MEDLINE DCOM- 20181002 LR - 20191210 IS - 1873-3492 (Electronic) IS - 0009-8981 (Linking) VI - 483 DP - 2018 Aug TI - Development and validation of a targeted affinity-enrichment and LC-MS/MS proteomics approach for the therapeutic monitoring of adalimumab. PG - 308-314 LID - S0009-8981(18)30224-9 [pii] LID - 10.1016/j.cca.2018.05.015 [doi] AB - BACKGROUND: The anti-tumor necrosis factor alpha (TNFalpha) therapeutic monoclonal antibodies (mAbs), such as adalimumab, are widely used in the treatment of rheumatoid arthritis, inflammatory bowel diseases, and other auto-immune diseases. The administration of adalimumab can elicit the immune responses from some patients, resulting in the formation of anti-drug antibodies (ADAbs). The ADAbs can diminish the therapeutic effects of adalimumab by neutralizing the TNFalpha binding site or increasing its clearance from circulation. METHODS: To effectively monitor the therapeutic concentrations of adalimumab, we developed and validated a targeted quantitative proteomic assay to determine the circulating concentrations of adalimumab. Since drug effects can be attenuated by ADAbs, the method adopted an affinity-enrichment step to selectively quantify the bioavailable forms of adalimumab in patient serum samples. RESULTS: The performance of the LC-MS/MS based assay provides the analytical measuring range and precisions applicable for the therapeutic monitoring of adalimumab. It also provides comparable results to a cell-based activity assay when evaluating patient samples with different concentrations of adalimumab. CONCLUSION: Our assay can quantify both sub-therapeutic and therapeutic concentrations of bioavailable adalimumab in patient serum samples. This assay design provides an alternative to isotope-labeled peptides approach currently adopted in targeted proteomics methods. CI - Copyright (c) 2018 Elsevier B.V. All rights reserved. FAU - Yang, Yifei AU - Yang Y AD - Department of Pathology, Pritzker School of Medicine, The University of Chicago, Chicago, IL, United States. Electronic address: yifeiyang@uchicago.edu. FAU - Wysocki, Emily AU - Wysocki E AD - Department of Pathology, Pritzker School of Medicine, The University of Chicago, Chicago, IL, United States. FAU - Antwi, Kwasi AU - Antwi K AD - Thermo Fisher Scientific, Tempe, AZ, United States. FAU - Niederkofler, Eric AU - Niederkofler E AD - Thermo Fisher Scientific, Tempe, AZ, United States. FAU - Leung, Edward K Y AU - Leung EKY AD - Department of Pathology, Pritzker School of Medicine, The University of Chicago, Chicago, IL, United States. FAU - Lazar-Molnar, Eszter AU - Lazar-Molnar E AD - Department of Pathology, University of Utah School of Medicine, Salt Lake City, UT, United States. FAU - Yeo, Kiang-Teck J AU - Yeo KJ AD - Department of Pathology, Pritzker School of Medicine, The University of Chicago, Chicago, IL, United States. LA - eng PT - Journal Article PT - Validation Study DEP - 20180509 PL - Netherlands TA - Clin Chim Acta JT - Clinica chimica acta; international journal of clinical chemistry JID - 1302422 RN - 0 (Antibodies, Monoclonal, Humanized) RN - 0 (Tumor Necrosis Factor-alpha) RN - FYS6T7F842 (Adalimumab) SB - IM MH - Adalimumab/blood/pharmacokinetics/*therapeutic use MH - Antibodies, Monoclonal, Humanized/immunology MH - Autoimmune Diseases/drug therapy MH - Biological Availability MH - Chromatography, Liquid MH - Drug Monitoring/*methods MH - Humans MH - Proteomics/*methods MH - Tandem Mass Spectrometry MH - Tumor Necrosis Factor-alpha/immunology OTO - NOTNLM OT - Anti-drug antibodies OT - Bioavailable adalimumab OT - Quantitative and targeted proteomics EDAT- 2018/05/13 06:00 MHDA- 2018/10/03 06:00 CRDT- 2018/05/13 06:00 PHST- 2017/12/20 00:00 [received] PHST- 2018/05/08 00:00 [revised] PHST- 2018/05/08 00:00 [accepted] PHST- 2018/05/13 06:00 [pubmed] PHST- 2018/10/03 06:00 [medline] PHST- 2018/05/13 06:00 [entrez] AID - S0009-8981(18)30224-9 [pii] AID - 10.1016/j.cca.2018.05.015 [doi] PST - ppublish SO - Clin Chim Acta. 2018 Aug;483:308-314. doi: 10.1016/j.cca.2018.05.015. Epub 2018 May 9.